AIS Audioconferences - Reconciling Part D Enrollment Data: Strategies to Avoid Becoming an Enforcement Target; Wall Street’s 2009 Outlook for Health Plans: Prognosis for the Industry and Individual Plans


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AIS E-Savings Club Weekly Specials

January 6, 2009

Today's Featured Story

Expect Health Reform Hearings in Spring and Congressional Action by Summer Reprinted from HEALTH PLAN WEEK

The last time the idea of national health reform was addressed, a new Democratic president had begun his first term and had the support of a Democratic majority in both houses of Congress. But the political environment, due largely to the poor economy, has made the need to reform health care much greater than during President Clinton's first term....Read Full Story

Quote of the Day

"We expect health care providers to come forward when they discover issues that could rise to the level of fraud without waiting for us to catch up to them, and when they do so, they may well benefit.”

— U.S, Attorney Patrick Fitzgerald in Chicago, commenting on the settlement following Condell Health Network’s voluntary disclosure of improper Medicaid and Medicare payments.

Buy the issue of The HCCA-AIS MEDICAID COMPLIANCE NEWS in which this quote appeared (PDF transmitted immediately)

Today's Datapoint

$530 million…in cost avoidance has been documented by The Regence Group for its 3 million health plan members, as a result of its evidence-based medicine approach, according to Helen Sherman, Pharm D., the group’s senior director of pharmacy services and chief pharmacy officer.

Buy the issue of DRUG BENEFIT NEWS in which this datapoint appeared (PDF transmitted immediately)

People on the Move

One Call Medical named Anthony Cuva chief information officer (CIO). He was CIO for CIGNA Corp.'s Intracorp.…Seth Foldy, M.D., was appointed administrator for Wisconsin's Division of Public Health and state health officer. Foldy was health commissioner for the city of Milwaukee from 1998 to 2004.

Today's Featured Health Business Job Opening

Physicians United Plan
Senior Provider Contractor and Network Development
Florida


Content questions or suggestions should be directed to BJ Taylor, editor of AIS's HEALTH BUSINESS DAILY, at bjtaylor@aispub.com. If you are interested in sponsoring AIS's HEALTH BUSINESS DAILY, please contact Bailey Sterrett at bsterrett@aispub.com.


AIS's HEALTH BUSINESS DAILY is copyrighted and protected by federal law. The re-use of its content is restricted (see below). However, you are permitted to forward this e-mail to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at http://www.magnetmail.net/actions/ atlantic_subscription.cfm, where you can also sign up for AIS's Government News of the Week.

Copyright © 2009 Atlantic Information Services, Inc. (AIS). All rights reserved. It is not permissible to include all or any portion of this content on any Web site, intranet or electronic network or in any print publication, without AIS's written permission in advance. Permission requests should be directed to rbiehl@aispub.com.

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Upcoming
Audioconferences

Reconciling Part D Enrollment Data:
Strategies to Avoid Becoming an Enforcement Target

An Audioconference
Tuesday, January 13, 2009
Click here for more information and to register.

Wall Street's 2009 Outlook for Health Plans: Prognosis for the Industry and Individual Plans
An audioconference
Thursday, January 15, 2009
Click here for more information and to register.


Health Plan Facts, Trends and Data: 2008-2009
This 23-pg. resource is packed with health plan cost and enrollment trends, pharmaceutical benefit data and strategies, health plan financial results and more. Click here for details.

High-Risk Areas in Medicare Billing
A comprehensive Web site with compliance auditing tools for hospitals and health systems — featuring hundreds of checklists, policies and best practices. Click here for details.

AIS's Pharmacy Benefit Survey Results
Track growth and consolidation in the industry, and trends in costs, utilization and benefit design. Available quarterly as Excel spreadsheets! Click here for details.

AIS's Health Business Job Openings
This service provides health care companies and organizations with a place to list job openings as well as provide health care professionals looking for a job with viable leads. Click here.


 


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